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Individual

MICHAEL LEO MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2870 S COLORADO BLVD, DENVER, CO 80222-6618
(303) 757-2365
Mailing address
9812 CLAIRTON PL, HIGHLANDS RANCH, CO 80126-4530
(303) 470-8361

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12574
CO

Other

Enumeration date
04/25/2011
Last updated
04/25/2011
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